Application For Admission. Application Data. Payment Details

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1 Application For Admission Requirements for making an application: 1. Enclose the $60.00 non-refundable application fee 2. Do not leave any question unanswered. If the question does not apply, write NA. 3. Please read and sign our attached Privacy Statement 4. PLEASE PRINT LEGIBLY Application Data Programme applying for: 1st Year Bible College 2nd Year Bible College 3rd Year Bible College Have you applied to this programme before? Yes No If yes, please answer the following questions: Year of previous application Which Church? Payment Details Direct Debit Cheque Cash Credit Card Visa MasterCard Jerry Savelle Ministries HFCC Account (Please put your name as your reference) BSB / Account (Payable to Heritage of Faith Church) Cardholder Name [Please Print] Signature Exp / Heritage of Faith Bible College Locked Bag 2 Burleigh BC Queensland 4220 Phone: Fax: Website: bible@heritageoffatih.com.au ABN

2 Personal Data Name of Applicant: Last Drivers Licence Number: Address: Number & Street City: First State: P/code: Phone Number: (Home) ( ) Phone Number: (Business) ( ) Mobile Number: Address: Male Female D.O.B. Christian Background When did you receive Jesus Christ as your personal Lord and Saviour? Year: Have you received the baptism of the Holy Spirit with the evidence of speaking in a heavenly language? Yes No Year: Name of church which you currently attend: Address: Name of your Pastor: Phone Number: ( ) How long have you been attending this church? What church involvement have you participated in? Please list volunteer activities and length of time. Have you attended any other Bible Colleges? Yes No If yes, which ones? A. Year: B. Year: C. Year:

3 Family Information Marital Status: Married Divorced Single Is your spouse in agreement with your decision to attend this school? Yes No Number of children: Ages: Have you previously: Smoked? Drunk Alcohol? Used illegal drugs Personal Summary Please state your reasons for desiring to attend Heritage of Faith Bible College and the goals you expect to attain while enrolled as a student. Reference A Pastor's recommendation is required by each applicant. Please provide the name and phone number of your Pastor who will be completing your recommendation form. Reminder: Before your application can be processed, your recommendation form must be received in the Admissions Office. Name of Pastor: Phone Number: I certify that to the best of my knowledge, all information is true and factual. Signature : Date:

4 Heritage of Faith Bible College PRIVACY STATEMENT (Your copy) In accordance with the Privacy Amendment Act (Private Sector) Act 2000, the Heritage of Faith Bible College (hereafter referred to as the Bible College) is bound by the ten (10) National privacy principles established by the Federal Privacy Commission and set out in the Act. The Bible College acknowledges that all personal, health or otherwise sensitive information is indeed personal and will be used only for the purpose of fulfilling the educational mission of the Bible College. In abiding by the National privacy principles, the Bible College will: (a) (b) Take all reasonable care in ensuring that all personal, health and sensitive information is protected from unauthorized access, misuse or loss, or any other form of disclosure. This includes the locking away of all information in a secure location. Only collect personal, health and sensitive information by fair, lawful and non-intrusive means. (c) (d) (e) (f) Not divulge any personal, health and sensitive information without the persons specific consent or unless required to do so by law or in the event of necessary information for medical practitioners. Where information is required to be given for lawful purposes, keep a record as to whom the information is supplied and for what purpose. Use the information collected only for the provision of administrative and quality education purposes. In accordance with the provisions of the Act, permit access by students whose information is held on file, with regard to their personal, health and sensitive information. The purpose should be for ensuring that their information on file is not inaccurate, incomplete, or out of date. This access specifically excludes any personal references on file, or any written comments from a duly authorized tutor or administrative officer of the Bible College. Privacy issues arising will in the first instance be discussed with the dean of the Bible College. If unresolved, the procedure for grievances and/or appeals is outlined in the appropriate Bible College document covering this topic. If the Bible College is not able to obtain the personal, health and sensitive information necessary to discharge its duty of care, the Bible College may not be able to complete that specific enrolment application. By submitting an application for enrolment form, the applicant confirms their understanding and agreement with the Bible College privacy statement. Signed: Date:

5 Heritage of Faith Bible College PRIVACY STATEMENT In accordance with the Privacy Amendment Act (Private Sector) Act 2000, the Heritage of Faith Bible College (hereafter referred to as the Bible College) is bound by the ten (10) National privacy principles established by the Federal Privacy Commission and set out in the Act. The Bible College acknowledges that all personal, health or otherwise sensitive information is indeed personal and will be used only for the purpose of fulfilling the educational mission of the Bible College. In abiding by the National privacy principles, the Bible College will: (a) (b) Take all reasonable care in ensuring that all personal, health and sensitive information is protected from unauthorized access, misuse or loss, or any other form of disclosure. This includes the locking away of all information in a secure location. Only collect personal, health and sensitive information by fair, lawful and non-intrusive means. (c) (d) (e) (f) Not divulge any personal, health and sensitive information without the persons specific consent or unless required to do so by law or in the event of necessary information for medical practitioners. Where information is required to be given for lawful purposes, keep a record as to whom the information is supplied and for what purpose. Use the information collected only for the provision of administrative and quality education purposes. In accordance with the provisions of the Act, permit access by students whose information is held on file, with regard to their personal, health and sensitive information. The purpose should be for ensuring that their information on file is not inaccurate, incomplete, or out of date. This access specifically excludes any personal references on file, or any written comments from a duly authorized tutor or administrative officer of the Bible College. Privacy issues arising will in the first instance be discussed with the dean of the Bible College. If unresolved, the procedure for grievances and/or appeals is outlined in the appropriate Bible College document covering this topic. If the Bible College is not able to obtain the personal, health and sensitive information necessary to discharge its duty of care, the Bible College may not be able to complete that specific enrolment application. By submitting an application for enrolment form, the applicant confirms their understanding and agreement with the Bible College privacy statement. Signed: Date:

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